VA101408 (4177)    PLAN (366.03)

Name Value
ID VA101408
NAME RXNET OF CALIFORNIA
NAME - SHORT RXNET
REGION CA
DATE/TIME CREATED 2004-02-14 12:43:22
PHARMACY BENEFITS MANAGER NAME RXNET OF CALIFORNIA
BANKING IDENTIFICATION NUMBER 003592
PROCESSOR CONTROL NUMBER (PCN) HDN
NCPDP PROCESSOR NAME EXPRESS
ENABLED? Yes
BILLING PAYER SHEET NAME ESIB1V5
REVERSAL PAYER SHEET NAME ESIB2V5
MAXIMUM NCPDP TRANSACTIONS 4
APPLICATION
  • E-PHARM
    NATIONAL ACTIVE?:   Active
    LOCAL ACTIVE?:   Not Active
    USER EDITED LOCAL:   INTERFACE,IB EIV
    DATE/TIME LOCAL EDITED:   2006-05-25 15:17:30
    DATE/TIME NATIONAL EDITED:   2004-02-14 19:35:38
    DEACTIVATED?:   No
    DATE/TIME CREATED:   2004-02-14 19:35:38